Alcohol use, expectancies and HIV-related sexual risk: a cross-sectional survey of male migrant workers in South India

Steward, Wayne T.; Satyanarayana, Veena A.; Heylen, Elsa; Srikrishnan, Aylur K.; Vasudevan, Canjeevaram K.; Krishnan, Gopal; Solomon, Davidson

doi:10.1080/09540121.2017.1394964

Cited by 5 publications

(3 citation statements)

References 35 publications

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“…In multivariate logistic regression, the expectancy of having more fun helped drive the combination of alcohol and unprotected sex with partners (OR = 1.22, p < 0.05). Men concerned about alcohol-induced deficits were less likely to drink with partners (OR = 0.81, p < 0.01) but more likely to have unprotected sex with them (OR = 1.78, p < 0.01) [65].…”

Section: Alcohol and Nicotine Abusementioning

confidence: 99%

Migrant Workers and Psychological Health: A Systematic Review

et al. 2019

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Migrant workers show an increase in the incidence of serious, psychotic, anxiety, and post-traumatic disorders due to a series of socio-environmental variables, such as loss of social status, discrimination, and separations from the family. The purpose is to elaborate a systematic review and highlight the prevailing psychological pathologies of these workers and categories most at risk. Our research included articles published from 2009 to 2019 on the major databases (Pub Med, Cochrane Library, and Scopus) using a combination of some keywords. The online search indicated 1.228 references. Using inclusion and exclusion criteria, we analyzed 127 articles, in particular 12 reviews and 115 original articles. Principal emerging disorders from the research are depressive syndrome (poor concentration at work, feeling down, or anger and somatization), anxiety, alcohol or substance abuse, and poor sleep quality. This causes low life conditions, which is also due to marginalization from the social context and strenuous work; in fact, migrant workers may suffer verbal or physical abuse, and they are often employed in dangerous, unhealthy jobs. It is therefore essential to increase the role of occupational medicine and promote wellbeing for this vulnerable job category.

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Section: Alcohol and Nicotine Abusementioning

confidence: 99%

Migrant Workers and Psychological Health: A Systematic Review

et al. 2019

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“…Therefore, the transport agencies in the government, healthcare stakeholders, and employers in the trucking industry should work in collaboration to ensure that substance use among the LDTDs is controlled. In India, excessive alcohol use during or before sexual intercourse was found to influence poor condom use [ 19 ]. Other studies have identified alcohol use as likely to influence risky sexual behaviours among the LDTDs during sexual interactions [ 15 , 18 , 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Frequency of sexual interactions and associated factors among long-distance truck drivers operating along the Northern Corridor Highway, Kenya

Mutie¹,

Kairu-Wanyoike²,

Mambo³

et al. 2021

Pan Afr Med J

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Introduction harsh working conditions among long-distance truck drivers (LDTDs) expose them to risky sexual interactions while on transit. As a result, the risky sexual interactions among the LDTDs place them at a high risk of contracting human immunodeficiency virus (HIV) and sexually transmitted infections (STIs). This study sought to assess the sexual interactions and associated factors among the LDTDs in Kenya. Methods two hundred ninety-six (296) LDTDs were interviewed using interviewer-administered questionnaires. A systematic sampling technique was adopted. The number of sexual acts reported by the respondents was used to generate an ordered outcome variable (frequency of sexual interactions), in the order of; no sexual acts (zero), one to three sexual acts (1), and four to six sexual acts (2). Association between the predictor variables and the outcome variable was analysed using ordered logistic regression analysis in R statistical software. Results the mean age of the study participants was 38.4 years, with the youngest being 24 years and the oldest 57 years. Slightly above half of the participants (52.4%) reported no sexual interactions, while the rest (47.6%) had sexual interactions with either casual or regular sexual partners on the week preceding the survey. Age, the number of weeks spent on a transit journey, and drug use were independently associated with the frequency of sexual interactions among LDTDs involved in the study. Conclusion the frequencies of sexual interactions are likely to be higher among the younger LDTDs, those who spent more than one week on transit, and those who use alcohol and khat, hence a high exposure risk to HIV/STIs among them.

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“…Data were collected using an interviewer-administered structured questionnaire developed after a critical review of literature [56][57][58][59]. The questionnaire captured information on socio-demographic characteristics such as sex, age (in years), marital status, highest educational attainment, length of stay in a particular informal settlement, average individual monthly income, history of psychoactive substance use, sexual expectancies and inhibitions.…”

Section: Data Collection and Study Variablesmentioning

confidence: 99%

Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda

et al. 2021

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Background Psychoactive substance use is a public health challenge among young people in informal settlements. Though rarely examined, psychoactive substance use is linked to sexual expectancies and inhibitions, and consequently high-risk sexual behaviours. This study examined the association between sexual expectancies and inhibitions, and high-risk sexual behaviours among young psychoactive substance users (PSUs) in informal settlements in Kampala, Uganda. Methods This cross-sectional study recruited 744 young PSUs from informal settlements in Kampala. Respondent driven sampling was used to recruit respondents. A ‘modified’ Poisson regression model was used for inferential statistics. Data were analysed using the Stata 14 software. Results Of the 744 study participants, 45.6% believed that psychoactive substance use improves sexual performance; 43.3% believed that psychoactive substances make sex more pleasurable, and 53.3% believed that psychoactive substances give courage or confidence to approach a partner for sex. The belief that psychoactive substance use improves sexual performance (PR 1.14, 95% CI: 1.01–1.30), increases the likelihood of engaging in sex (PR 1.20, 95% CI: 1.04–1.40) or gives courage or confidence to approach a sexual partner (PR 1.21, 95% CI: 1.05–1.39) were associated with having sex while under the influence of psychoactive substances. The belief that a psychoactive substance user under the influence of psychoactive substances is more likely to engage in sex (PR 1.48, 95% CI: 1.15–1.90), and likely to find it difficult to refuse sex (PR 1.28, 95% CI: 1.06–1.55) were positively associated with engaging in multiple sexual partnerships. The belief that one easily forgets to use a condom when under the influence of psychoactive substances was positively associated with inconsistent condom use (PR 1.26, 95% CI: 1.09–1.45). Conclusion Psychoactive substance use expectancies associated with high-risk sexual behaviours included the belief that psychoactive substances improve sexual performance and improve confidence in approaching a sexual partner. Psychoactive substance use inhibitions associated with high-risk sexual behaviours included an increased likelihood of engaging in sexual intercourse, difficulties in refusing to engage in sexual intercourse, and forgetting to use condoms while intoxicated. Interventions targeting a reduction in high-risk sexual behaviour should integrate the impact of psychoactive substance use on sexual behaviour.

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Alcohol use, expectancies and HIV-related sexual risk: a cross-sectional survey of male migrant workers in South India

Cited by 5 publications

References 35 publications

Migrant Workers and Psychological Health: A Systematic Review

Migrant Workers and Psychological Health: A Systematic Review

Frequency of sexual interactions and associated factors among long-distance truck drivers operating along the Northern Corridor Highway, Kenya

Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda

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